MOSAIC COMMUNITY SERVICES, INC. (NPI# 1174077796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174077796 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC. |
| Practice Address |
9201 Philadelphia Rd Baltimore MD 21237-4318 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4105747700 |
| Practice Fax Number | 4105741522 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4436121436 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | JEFF RICHARDSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
MH-2052 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DHMH LICENSE | MH2052 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760731574 | Mosaic Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10311 Malcolm Cir, Apt. B, Cockeysville, MD 21030-3937 | 2012-09-07 |
| 1255886156 | Mosaic Community Services, Inc. | Case Management | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-08-20 |
| 1417402314 | Mosaic Community Services, Inc. | Case Management | 15 S Parke St, Suite 400, Aberdeen, MD 21001-4515 | 2016-08-20 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1629522248 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-08-11 |
| 1114370053 | Mosaic Community Services, Inc. | Case Management | 8003 Corporate Dr, Nottingham, MD 21236-4984 | 2016-07-15 |
| 1629420583 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1245682129 | Mosaic Community Services, Inc. | Clinic/Center | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2016-07-05 |
| 1861844706 | Mosaic Community Services, Inc. | Clinic/Center | 1040 Hardees Dr Ste F, Aberdeen, MD 21001 | 2016-07-03 |
| 1588016422 | Mosaic Community Services, Inc. | Clinic/Center | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
9201 PHILADELPHIA RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21237-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134271646 | Alliance Inc | Community/Behavioral Health | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2007-01-17 |
| 1871079715 | Alexander Charles Ashton Sr. | Social Worker | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2018-07-13 |
| 1750830170 | John Backert | Counselor | 9201 Philadelphia Rd, Baltimore, MD 21237 | 2016-09-27 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1124470067 | Mosaic Community Services, Inc | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-07-03 |
| 1285084913 | Megan Khalil | Counselor | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-06-14 |
| 1033593900 | Tara Hughes | Social Worker | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2015-07-10 |
| 1689839201 | Alliance, Inc | Community/Behavioral Health | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666977 | Sheena Alisha Abraham | Nurse Anesthetist, Certified Registered | Medstar Franklin Square Medical Center, 9000 Franklin Square Drive, Baltimore, MD 21237 | 2020-03-30 |
| 1295221281 | Anyelin Almanzar | Student in an Organized Health Care Education/Training Program | 900 Franklin Square Dr, Dept. of General Surgery, Baltimore, MD 21237 | 2018-07-03 |
| 1952894818 | Peace Healthcare | Home Health | 8683 Old Philadelphia Road, Rosedale, MD 21237 | 2018-06-14 |
| 1134621816 | Maryland Sportscare & Rehab LLC | Physical Therapist | 8665 Pulaski Hwy Ste 115, Rosedale, MD 21237 | 2018-03-08 |
| 1619480308 | Valorie Elaine Colby | Registered Nurse | Eastern Family Resource Center, 9150 Franklin Square Drive, Rosedale, MD 21237 | 2017-11-16 |
| 1891205910 | Gidez Nursing Services LLC | Registered Nurse | 8902 Lennings Lane, Baltimore, MD 21237 | 2017-10-03 |
| 1801258736 | Riverside Treatment Services LLC | Clinic/Center | 8359 Pulaski Highway, Rosedale, MD 21237 | 2016-03-21 |
| 1457734691 | Ati Holdings, LLC | Occupational Therapist | 8652 Pulasky Hwy Ste C-1, Rosedale, MD 21237 | 2015-07-07 |
| 1063802940 | Melissa Pollard | Pharmacy Technician | 1521 Seling Ave, Baltimore, MD 21237 | 2015-01-29 |
| 1053733378 | Thrive Behavioral Health, LLC | Community/Behavioral Health | 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237 | 2014-01-07 |
| Find all providers in zip 21237 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1255312203 | Man Alive, Inc. | Clinic/Center | 2117 Maryland Ave, Baltimore, MD 21218-5614 | 2005-11-08 |
| 1437759735 | Choices Integrative Healthcare, Inc. | Clinic/Center | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-27 |
| 1295214617 | Compassionate Health Services LLC | Clinic/Center | 9403 Harford Rd Ste 6, Baltimore, MD 21234-3123 | 2018-08-07 |
| 1275022170 | Second Chance Behavioral Health Center LLC | Clinic/Center | 2502 Maryland Ave, Baltimore, MD 21218-4510 | 2018-05-07 |
| 1427502046 | Mosaic Community Services, Inc. | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-08-11 |
| 1588016422 | Mosaic Community Services, Inc. | Clinic/Center | 234 S Broadway, Baltimore, MD 21231-2405 | 2016-07-03 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.